Talk:Medicare Part D

From Wikipedia, the free encyclopedia

You have new messages (last change).

This is the talk page for discussing improvements to the Medicare Part D article.

Contents

[edit] medicareadvocacy.org links

The http://www.medicareadvocacy.org/ links are all broken.

[edit] What is a formulary?

  • EOM
  • The best article currently on wikipedia explaining a formulary is British National Formulary, which is not that great and obviously is specific to England. A formulary is a list of drugs that one specific plan through a specifice provider will cover. Medicare D has a formulary and then the different providers can cover a percentage of that - usually about the low 70% range on the very low end all the way up to 100% (with restrictions of course) in the case of certain plans available through Humana and AARP-United and a few others. Does that answer your question?--Hraefen 17:44, 21 February 2006 (UTC)

[edit] I wonder about the neutrality of this page

Although there is an entire section dedicated to the implementation issues of Medicare Part D, there is no section reporting on the progress it has made or the possible advantages it may have (projected costs, although initially higher, have been estimated to be lower as of late, impacting possible clawback rates). Of course, state-sponsored dogma such as Secretary Leavitt's frequent Part D updates is undesirable, but the future of the plan is very much in question and there are arguments for how it may outperform other nations' prescription drug benefits (as well as those mentioned in this article for how it may ultimately fail). In the next few weeks, I will endeavor to unfold some of these arguments, but if anybody is an expert in the area, they could help flesh out this description. Poa02003 16:40, 11 July 2006 (UTC)

[edit] Dual Eligible

Can anyone direct me to info that claims duals can move plans monthly? This has not been my experience as I handle Part D for a fortune 500 company.EmDeeEm 23:49, 12 September 2006 (UTC)

I can't find a citation unfortunately, but our Part D enrollment director tells me that fully subsidized individuals can can plans as often as once a month with no real limitations. LIS folks who are not fully subsidized can only change once a year. Again, apologies for the lack of a cite, but she forwarded on some examples that emperically showed that it can happen. (Though given what we've seen from CMS, this could be a quirk rather than policy...) Jargent 13:49, 21 November 2006 (UTC)

[edit] Donut hole

Medicare spells it "donut hole" here. Perhaps we might be consistent with the name the government is using? --Chrispounds 20:22, 17 November 2006 (UTC)

I prefer to ignore the term in most cases as replace it with "coverage gap", which Chrispounds has done. It needs to be in there somewhere so people can find it while searching, but do(ugh?)nut hole is one of those terms that CMS only reluctantly uses. (You'll only find one other donut reference on the medicare site, while Coverage Gap appears 500+ times.) As for which one is "correct", the two are interchangable, and both valid. You could probably make an argument for using both so the article will pop up on either search term. In all, I don't think it matters much. -- Jargent 13:44, 20 November 2006 (UTC)

Also, FYI, I've created a Donut Hole (Medicare) stub page. I can see arguments for keeping/merging that info into the main Medicare page, but I think it's a term with enough life to get a page of its own. The link is also on the Doughnut (disambiguation) page. Have fun with that one.  ;) Jargent 14:14, 20 November 2006 (UTC)

Retrieved from "http://en.wikipedia.org../../../m/e/d/Talk%7EMedicare_Part_D_0d7f.html"